Performing a wide variety of financial and actuarial analyses impacting strategic decision making and the company’s financial sustainability efforts
Conducting cost and utilization trend analysis
Return on investment evaluations
Medicare bid development
Rate setting optimization
Forecasting support
Benchmarking
Risk adjustment optimization
Provider payment evaluation
Reviewing actuarial estimates
Identifying opportunities for improved financial performance
Collaborating with Information Systems to ensure access to a data source with high data integrity
Providing training and support to other Finance users

Requirements

Associate of the Society of Actuaries
Minimum 5 years’ experience in an actuarial role
Work experience in health insurance
Preferred Fellow of the Society of Actuaries
Work experience in Medicaid or Medicare
Strong understanding of data systems and sources and how it impacts the data available
Knowledge of medical claims, billing practices, and health insurance requirements
Proficiency in SAS, SQL, or similar database querying tools
Proficiency in MS Excel

Benefits

Health insurance
Dental insurance
Vision insurance
Life insurance
AD&D insurance
Disability insurance
Health savings account
Flexible spending account(s)
Lifestyle spending account
Employee assistance program
Wellness program
Discounts
Supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings)
Retirement plan with employer contributions
PTO and Paid State Sick Time based on hours worked/scheduled hours
Paid holidays
Volunteer time
Jury duty
Bereavement leave

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

financial analysisactuarial analysiscost analysisutilization trend analysisreturn on investment evaluationforecastingbenchmarkingrisk adjustment optimizationprovider payment evaluationdata integrity

Soft Skills

collaborationtrainingsupport

Certifications

Associate of the Society of ActuariesFellow of the Society of Actuaries